Mindfulness-Based Stress Reduction for Chronic Insomnia in Adults Older than 75 Years: A Randomized, Controlled, Single-Blind Clinical Trial
To assess the effectiveness of mindfulness-based stress reduction (MBSR) for chronic insomnia and combined depressive or anxiety symptoms of older adults aged 75 years and over. A randomized, controlled, single-blind clinical trial. Participants included 60 adults aged 75 years and over with chronic...
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| Veröffentlicht in: | Explore (New York, N.Y.) N.Y.), 2015-05, Vol.11 (3), p.180-185 |
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| creator | Zhang, Jia-xu Liu, Xiao-hui Xie, Xin-hui Zhao, Dan Shan, Mo-shui Zhang, Xi-liang Kong, Xiao-ming Cui, Hong |
| description | To assess the effectiveness of mindfulness-based stress reduction (MBSR) for chronic insomnia and combined depressive or anxiety symptoms of older adults aged 75 years and over.
A randomized, controlled, single-blind clinical trial.
Participants included 60 adults aged 75 years and over with chronic insomnia. Participants were randomly assigned to the eight-week MBSR group or the wait-list control group. Assessments using the Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Sale (SAS), and Geriatric Depression Scale (GDS) were taken at baseline and post-treatment. For each outcome measure, a repeated measures analysis of variance was used to detect changes across assessments.
There was a significant time × group interaction for the PSQI global score (P = .006); the MBSR group had a decrease in the PSQI global score (Cohen׳s d = 1.12), while the control group did not (Cohen׳s d = −0.06). Among the PSQI components, there was a significant time × group interaction for daytime dysfunction (P = .048); Cohen׳s d of the MBSR group was 0.76, while Cohen׳s d of control group was −0.04. There was no significant time × group interaction for the SAS score (P = .116), while for the GDS there was a significant time × group interaction (P = .039); the Cohen׳s d value for the MBSR group was 1.20, and it was 0.12 for the control group.
This study demonstrated that the MBSR program could be a beneficial treatment for chronic insomnia in adults aged 75 years and older. |
| doi_str_mv | 10.1016/j.explore.2015.02.005 |
| format | Article |
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A randomized, controlled, single-blind clinical trial.
Participants included 60 adults aged 75 years and over with chronic insomnia. Participants were randomly assigned to the eight-week MBSR group or the wait-list control group. Assessments using the Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Sale (SAS), and Geriatric Depression Scale (GDS) were taken at baseline and post-treatment. For each outcome measure, a repeated measures analysis of variance was used to detect changes across assessments.
There was a significant time × group interaction for the PSQI global score (P = .006); the MBSR group had a decrease in the PSQI global score (Cohen׳s d = 1.12), while the control group did not (Cohen׳s d = −0.06). Among the PSQI components, there was a significant time × group interaction for daytime dysfunction (P = .048); Cohen׳s d of the MBSR group was 0.76, while Cohen׳s d of control group was −0.04. There was no significant time × group interaction for the SAS score (P = .116), while for the GDS there was a significant time × group interaction (P = .039); the Cohen׳s d value for the MBSR group was 1.20, and it was 0.12 for the control group.
This study demonstrated that the MBSR program could be a beneficial treatment for chronic insomnia in adults aged 75 years and older.</description><identifier>ISSN: 1550-8307</identifier><identifier>EISSN: 1878-7541</identifier><identifier>DOI: 10.1016/j.explore.2015.02.005</identifier><identifier>PMID: 25843539</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Actigraphy ; Aged ; Aged, 80 and over ; Analysis of Variance ; anxiety ; Anxiety - complications ; Anxiety - therapy ; chronic insomnia ; depression ; Depression - complications ; Depression - therapy ; Female ; Humans ; Male ; Meditation ; Mindfulness ; old age ; Outcome Assessment (Health Care) ; Single-Blind Method ; Sleep ; Sleep Initiation and Maintenance Disorders - etiology ; Sleep Initiation and Maintenance Disorders - psychology ; Sleep Initiation and Maintenance Disorders - therapy ; Stress, Psychological - complications ; Stress, Psychological - therapy</subject><ispartof>Explore (New York, N.Y.), 2015-05, Vol.11 (3), p.180-185</ispartof><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-a8f7c8d13173d73201fa70295ac97dfe5e43c9b7ac3da36d834c5871cb453e5e3</citedby><cites>FETCH-LOGICAL-c435t-a8f7c8d13173d73201fa70295ac97dfe5e43c9b7ac3da36d834c5871cb453e5e3</cites><orcidid>0000-0002-3603-3854</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.explore.2015.02.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25843539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Jia-xu</creatorcontrib><creatorcontrib>Liu, Xiao-hui</creatorcontrib><creatorcontrib>Xie, Xin-hui</creatorcontrib><creatorcontrib>Zhao, Dan</creatorcontrib><creatorcontrib>Shan, Mo-shui</creatorcontrib><creatorcontrib>Zhang, Xi-liang</creatorcontrib><creatorcontrib>Kong, Xiao-ming</creatorcontrib><creatorcontrib>Cui, Hong</creatorcontrib><title>Mindfulness-Based Stress Reduction for Chronic Insomnia in Adults Older than 75 Years: A Randomized, Controlled, Single-Blind Clinical Trial</title><title>Explore (New York, N.Y.)</title><addtitle>Explore (NY)</addtitle><description>To assess the effectiveness of mindfulness-based stress reduction (MBSR) for chronic insomnia and combined depressive or anxiety symptoms of older adults aged 75 years and over.
A randomized, controlled, single-blind clinical trial.
Participants included 60 adults aged 75 years and over with chronic insomnia. Participants were randomly assigned to the eight-week MBSR group or the wait-list control group. Assessments using the Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Sale (SAS), and Geriatric Depression Scale (GDS) were taken at baseline and post-treatment. For each outcome measure, a repeated measures analysis of variance was used to detect changes across assessments.
There was a significant time × group interaction for the PSQI global score (P = .006); the MBSR group had a decrease in the PSQI global score (Cohen׳s d = 1.12), while the control group did not (Cohen׳s d = −0.06). Among the PSQI components, there was a significant time × group interaction for daytime dysfunction (P = .048); Cohen׳s d of the MBSR group was 0.76, while Cohen׳s d of control group was −0.04. There was no significant time × group interaction for the SAS score (P = .116), while for the GDS there was a significant time × group interaction (P = .039); the Cohen׳s d value for the MBSR group was 1.20, and it was 0.12 for the control group.
This study demonstrated that the MBSR program could be a beneficial treatment for chronic insomnia in adults aged 75 years and older.</description><subject>Actigraphy</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>anxiety</subject><subject>Anxiety - complications</subject><subject>Anxiety - therapy</subject><subject>chronic insomnia</subject><subject>depression</subject><subject>Depression - complications</subject><subject>Depression - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Meditation</subject><subject>Mindfulness</subject><subject>old age</subject><subject>Outcome Assessment (Health Care)</subject><subject>Single-Blind Method</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders - etiology</subject><subject>Sleep Initiation and Maintenance Disorders - psychology</subject><subject>Sleep Initiation and Maintenance Disorders - therapy</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - therapy</subject><issn>1550-8307</issn><issn>1878-7541</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1v1DAQtRCIfsBPKPKRAwl2HMdeLtU2akulokptOXCyvPak9cqxFztBhd_Aj65Xu_TKZT40b-bNzEPohJKaEtp9XtfwtPExQd0QymvS1ITwV-iQSiErwVv6usSck0oyIg7QUc5rQljHu-4tOmi4bBlni0P095sLdph9gJyrM53B4rsplQTfgp3N5GLAQ0y4f0wxOIOvQo5jcBq7gJd29lPGN95CwtOjDlhw_AN0yl_wEt_qYOPo_oD9hPsYphS938Z3Ljx4qM58IcZ9sc5oj--T0_4dejNon-H93h-j7xfn9_3X6vrm8qpfXlembD1VWg7CSEsZFcwKVu4ftCDNgmuzEHYADi0zi5XQhlnNOitZa7gU1KxazkqVHaOPu7mbFH_OkCc1umzAex0gzlnRThIqOtbQAuU7qEkx5wSD2iQ36vRbUaK2Qqi12guhtkIo0qgiROn7sKeYVyPYl65_ny-A0x0AyqG_HCSVjYNgwLoEZlI2uv9QPAOfz51A</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Zhang, Jia-xu</creator><creator>Liu, Xiao-hui</creator><creator>Xie, Xin-hui</creator><creator>Zhao, Dan</creator><creator>Shan, Mo-shui</creator><creator>Zhang, Xi-liang</creator><creator>Kong, Xiao-ming</creator><creator>Cui, Hong</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3603-3854</orcidid></search><sort><creationdate>201505</creationdate><title>Mindfulness-Based Stress Reduction for Chronic Insomnia in Adults Older than 75 Years: A Randomized, Controlled, Single-Blind Clinical Trial</title><author>Zhang, Jia-xu ; Liu, Xiao-hui ; Xie, Xin-hui ; Zhao, Dan ; Shan, Mo-shui ; Zhang, Xi-liang ; Kong, Xiao-ming ; Cui, Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-a8f7c8d13173d73201fa70295ac97dfe5e43c9b7ac3da36d834c5871cb453e5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Actigraphy</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>anxiety</topic><topic>Anxiety - complications</topic><topic>Anxiety - therapy</topic><topic>chronic insomnia</topic><topic>depression</topic><topic>Depression - complications</topic><topic>Depression - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Meditation</topic><topic>Mindfulness</topic><topic>old age</topic><topic>Outcome Assessment (Health Care)</topic><topic>Single-Blind Method</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders - etiology</topic><topic>Sleep Initiation and Maintenance Disorders - psychology</topic><topic>Sleep Initiation and Maintenance Disorders - therapy</topic><topic>Stress, Psychological - complications</topic><topic>Stress, Psychological - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Jia-xu</creatorcontrib><creatorcontrib>Liu, Xiao-hui</creatorcontrib><creatorcontrib>Xie, Xin-hui</creatorcontrib><creatorcontrib>Zhao, Dan</creatorcontrib><creatorcontrib>Shan, Mo-shui</creatorcontrib><creatorcontrib>Zhang, Xi-liang</creatorcontrib><creatorcontrib>Kong, Xiao-ming</creatorcontrib><creatorcontrib>Cui, Hong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Explore (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Jia-xu</au><au>Liu, Xiao-hui</au><au>Xie, Xin-hui</au><au>Zhao, Dan</au><au>Shan, Mo-shui</au><au>Zhang, Xi-liang</au><au>Kong, Xiao-ming</au><au>Cui, Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mindfulness-Based Stress Reduction for Chronic Insomnia in Adults Older than 75 Years: A Randomized, Controlled, Single-Blind Clinical Trial</atitle><jtitle>Explore (New York, N.Y.)</jtitle><addtitle>Explore (NY)</addtitle><date>2015-05</date><risdate>2015</risdate><volume>11</volume><issue>3</issue><spage>180</spage><epage>185</epage><pages>180-185</pages><issn>1550-8307</issn><eissn>1878-7541</eissn><abstract>To assess the effectiveness of mindfulness-based stress reduction (MBSR) for chronic insomnia and combined depressive or anxiety symptoms of older adults aged 75 years and over.
A randomized, controlled, single-blind clinical trial.
Participants included 60 adults aged 75 years and over with chronic insomnia. Participants were randomly assigned to the eight-week MBSR group or the wait-list control group. Assessments using the Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Sale (SAS), and Geriatric Depression Scale (GDS) were taken at baseline and post-treatment. For each outcome measure, a repeated measures analysis of variance was used to detect changes across assessments.
There was a significant time × group interaction for the PSQI global score (P = .006); the MBSR group had a decrease in the PSQI global score (Cohen׳s d = 1.12), while the control group did not (Cohen׳s d = −0.06). Among the PSQI components, there was a significant time × group interaction for daytime dysfunction (P = .048); Cohen׳s d of the MBSR group was 0.76, while Cohen׳s d of control group was −0.04. There was no significant time × group interaction for the SAS score (P = .116), while for the GDS there was a significant time × group interaction (P = .039); the Cohen׳s d value for the MBSR group was 1.20, and it was 0.12 for the control group.
This study demonstrated that the MBSR program could be a beneficial treatment for chronic insomnia in adults aged 75 years and older.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25843539</pmid><doi>10.1016/j.explore.2015.02.005</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-3603-3854</orcidid></addata></record> |
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| identifier | ISSN: 1550-8307 |
| ispartof | Explore (New York, N.Y.), 2015-05, Vol.11 (3), p.180-185 |
| issn | 1550-8307 1878-7541 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Actigraphy Aged Aged, 80 and over Analysis of Variance anxiety Anxiety - complications Anxiety - therapy chronic insomnia depression Depression - complications Depression - therapy Female Humans Male Meditation Mindfulness old age Outcome Assessment (Health Care) Single-Blind Method Sleep Sleep Initiation and Maintenance Disorders - etiology Sleep Initiation and Maintenance Disorders - psychology Sleep Initiation and Maintenance Disorders - therapy Stress, Psychological - complications Stress, Psychological - therapy |
| title | Mindfulness-Based Stress Reduction for Chronic Insomnia in Adults Older than 75 Years: A Randomized, Controlled, Single-Blind Clinical Trial |
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